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K2A - Application Form - Final-LOCKED - 0cdkn
K2A - Application Form - Final-LOCKED - 0cdkn
countries
Please complete this application form and submit by no later than 23h59 Central Africa Time (CAT) on
Sunday 07 May 2023. Should your application be chosen for proposal submission you will be notified
before 31 May 2023.
We understand that French or English may not be everyone’s first language, so we will not penalise the
incorrect use of grammar. Should you be uncertain regarding how to complete this application, please do
check our frequently asked questions page, which will be regularly updated. In addition, we will host a
webinar on the process on Thursday 13 April 2023, from 11h00 to 12h00 Central African Time (CAT).
Please pre-register for the session here.
Does the project align with at least one of the CDKN themes?
Does the project commit to adhering to safeguarding and ethics principles?
Note: Only projects that meet the basic eligibility criteria will be considered for review.
2.a Partner organisation details (please include details of each partner organisation
below. More partner tables available at bottom of document if required)
Name of contact person
Role of person within
organisation
Email address
Name of organisation
e.g. community group, community-based organisation, cooperative, non-
governmental organisation, international non-governmental organisation,
Type of organisation sub-national/local government, academia, private sector, small- and
medium-sized business, media organisation, social enterprise, etc.
Role of the organisation
within the project
Physical address
Please include city,
country and postal code
Phone number
Including country code
Organisation website
and/or other social
media
Please choose one of the An African organisation
following: Is the based in Africa, but with headquarters elsewhere
organisation… neither of the above, but based in the global South
Any comments?
2.b Partner organisation details (please include details of all the additional partners.
More partner tables available at bottom of document if required)
Name of contact person
Role of person within
organisation
Email address
Name of organisation
e.g. community group, community-based organisation, cooperative, non-
governmental organisation, international non-governmental organisation,
Type of organisation sub-national/local government, academia, private sector, small- and
medium-sized business, media organisation, social enterprise, etc.
Role of the organisation
within the project
Physical address
Please include city,
country and postal code
Phone number
Including country code
Organisation website
and/or other social
media
Please choose one of the An African organisation
following: Is the based in Africa, but with headquarters elsewhere
organisation… neither of the above, but based in the global South
Any comments
2.c Partner organisation details (please include details of all the additional partners.
More partner tables available at bottom of document if required)
Name of contact person
Role of person within
organisation
Email address
Name of organisation
e.g. community group, community-based organisation, cooperative, non-
governmental organisation, international non-governmental organisation,
Type of organisation sub-national/local government, academia, private sector, small- and
medium-sized business, media organisation, social enterprise, etc.
Role of the organisation
within the project
Physical address
Please include city,
country and postal code
Phone number
Including country code
Organisation website
and/or other social
media
Please choose one of the An African organisation
following: Is the based in Africa, but with headquarters elsewhere
organisation… neither of the above, but based in the global South
Any comments?
3. Project summary
Project title
(Maximum 15 words)
Project objective/s
(Maximum 100 words)
Indicate which CDKN theme/s your project aligns with.
gender equity and social inclusion
finance for resilience
CDKN themes:
ecosystem-based approaches
enhancing climate literacy
empowering young people
Projects must be completed by October 2026. Include the start and end
Project duration date.
Country (ies).
Where is the project’s
geographic focus? Sub-national/provinces/wards.
Funding requested from CDKN In US dollars; US$.
(maximum US$ 150,000)
Please explain how this project does or can leverage other funding
Parallel funding opportunities
opportunities. Please include names and amounts where possible.
(Maximum 100 words)
Safeguarding and Please indicate the risks your project poses to the project implementers and
ensuring no harm done the communities in which the project is being implemented and how you will
as a result of project address this.
activities
(Maximum 300 words)
Please describe how the project’s team will include or has included
safeguarding measures and ethics procedures within the implementing
organisation or in the project design.
5. Team composition and leadership
African leadership Please describe in what way the project is African led? This includes partnerships and collaborations between
(Maximum 200 words) African-based organisations and nationals.
Role of the lead organisation Please describe the role of the lead organisation in the project.
within the project
Please describe the gender and social diversity of the project team members. Please describe how marginalised
Team and leadership diversity
groups are included in the project team and leadership.
(Maximum 200 words)
Team composition
Name of team member3 Organisation Title and role in project
3
Insert more rows as needed
7: Budget (US$)
Year 1 Year 2 Year 3 Total Proportion Notes
%
Partner 1 [insert organisation Please include no of persons
name] personnel fees Please include the range of the rates
Partner 2 [insert organisation Please include no of persons
name] personnel fees Please include the range of the rates
Partner 34 [insert organisation Please include no of persons
name] personnel fees Please include the range of the rates
Outsourced consultants and Please include no of persons
service providers Please include the range of the rates
Travel
Project activities5 Please include details of the type of
costs, e.g., workshops, subsidies,
subscriptions, etc.
Subtotal 100%
Indirect costs (maximum of
13% of direct costs)
Total (not greater than US$
150,000)
4
Please add additional rows for additional partners as needed.
5
Please add additional rows for more project activities expenses as needed.
8: Declaration
Please include the names Name Organisation
and organisations of the
people who contributed
to this submission6:
Person 1
Person 2
Person 3
Person 4 etc.
Declaration by project lead: I declare that the above information is accurate to the best of my knowledge.
Name
Signature
Date
6
Insert more rows as needed
2.d Partner organisation details (please include details of all the additional partners.
Copy and paste the table if necessary)
Name of contact person
Role of person within
organisation
Email address
Name of organisation
e.g. community group, community-based organisation, cooperative, non-
governmental organisation, international non-governmental organisation,
Type of organisation sub-national/local government, academia, private sector, small- and
medium-sized business, media organisation, social enterprise, etc.
Role of the organisation
within the project
Physical address
Please include city,
country and postal code
Phone number
Including country code
Organisation website
and/or other social
media
Please choose one of the An African organisation
following: Is the based in Africa, but with headquarters elsewhere
organisation… neither of the above, but based in the global South
Any comments?